go back

Pennsylvania rates for MS-DRG 390

Gastrointestinal Obstruction Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,979.22 / $8,893.86 / $12,885.00
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,514.86 / $5,514.86 / $5,514.86
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,021.96 / $11,302.95 / $16,859.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,761.09 / $8,486.40 / $13,295.36
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,964.03 / $8,964.03 / $10,884.90
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,048.35 / $8,819.99 / $13,573.80
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,905.79 / $8,893.86 / $12,815.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,479.84 / $7,958.72 / $12,237.28
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $4,579.77 / $6,080.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,655.68 / $6,857.12 / $12,438.02